Paper instructions:
Application: Evidence-Based Practice

How would you react if your primary care physician said to you, “I just heard about an interesting new drug that I want to prescribe for you. The pharmaceutical representative told me that it was a really effective medication, but I really haven’t had the chance to check out the research”? As an educated person, you might be a little hesitant to accept the prescription. Unfortunately, there would be some people who would take the prescription simply because the doctor prescribed it. This type of power differential also exists in counseling relationships. Clients will often follow the recommendations of a counselor based on their belief that the recommendations offered are sound. Thus, it is imperative that counselors understand the research related to counseling and that they can clearly differentiate between those techniques and interventions that are supported by empirical evidence and those that have limited support.

In this Application Assignment you review some case studies related to evidence-based practice and search for published research that could guide your decision making. You also evaluate legal, ethical, and cultural implications for your decision.

The assignment: (4–6 pages)

* Select a case study from Clinician’s Guide to Evidence-Based Practices: Mental Health and the Addictions. Describe the case study and identify the critical elements that would require you to review published research to guide your practice. Using the Walden Library, cite and summarize a research study that informs evidence-based counseling practice related to the case study as it would occur in your specialization area.

* Next, explain any ethical, legal, and socio-cultural considerations that apply for the case and/or the research article selected.

Support your Application Assignment with specific references to all resources used in its preparation. You are required to provide a reference list and to appropriately cite, in APA style, all references used within your assignment.

Order Description
EBP paper guidelines:

Purpose: This assignment is designed to allow students to identify a clinically relevant problem, formulate a PICO question, search the literature to find the best evidence to address the problem, synthesis the evidence, and explain how this intervention can be applied in practice.
1.) Identify a specific problem relevant to nursing: The paper should contain an introductory description of the topic/problem explaining why it is significant to nursing and healthcare. Identify the scope of the problem by including, if possible, the incidence, prevalence, and the cost of the problem to society. Include the PICO question in this section.

2.) Search method: Conduct a search of the literature to find a minimum of five studies: These studies should demonstrate effectiveness of an intervention to resolve the problem within a specific population. The literature search will be described and include how you conducted the literature search: which databases did you search, which search words did you use, what limits did you use, how many articles resulted in your search, how many of these did you review. If you searched an evidence-based site, such as Cochrane, include that information. For example you might write, “A literature search was completed using Cohrane Collaboration, InfoPOEMS, Medline, CINAHL and UptoDate. When searching Medline and CINAHL evidence-based filters were used. Inclusion criteria were years 2009 to 2014, English language, and research article. Key search words were “adolescent,” “menstruation,” and “education.” Include the final number of articles reviewed. Include any EB guidelines, e.g. American Heart Association. Ideally, you want articles within the last 5 years, but older articles may be necessary.

3.) Article appraisals: Each research article will be summarized and appraised including the type of study (method and design) (qualitative, quantitative, descriptive, quasi-experimental), level of evidence, sample, findings, strength of study, and limitation of study. You should have a minimum of 5 articles.
4.) Synthesis: After discussing individual studies synthesize the research (As a whole what does it say? What’s missing {gaps}?)

5.)Clinical implications/conclusion: Explain how the intervention can be applied in clinical practice and identify the setting and specific population.

6.) It must be double-spaced, and in APA format. Please use the guidelines to organize your paper. Correctly cite!

7.) Submit through TurnItIn

Rubric for Evidence-based Practice (EBP) Paper:

15 points – Identify a specific problem:
-The problem is introduced and its relevance to nursing is explained.
-Scope of problem (incidence, prevalence, cost)
-PICO question

10 points – Search method:
-Includes which databases did searched, key search words, limits (did not include Full Text only), inclusion criteria, total articles in search result, how many were reviewed

30 points – Appraisal of articles:
-Appraisal of articles include: type of study (method and design) (qualitative, quantitative, descriptive, quasi-experimental), level of evidence, sample, findings, strength of study, and limitation of study. Included at least 5 articles.

20 points – Synthesis of literature:
-Presents a synthesis of research findings from all studies which were appraised including as a whole what does it say? What’s missing {gaps}?
-Based on the synthesis, state overall strength of evidence for instituting the intervention as a practice change with the specific population in the specific setting

15 points – Clinical Implications/conclusion:
-Explain how the intervention can be applied in clinical practice?
-What practice setting and which specific population?

10 points – Format & Style:
-APA 6th ed. Format including headings, references, typed, double-spaced, 1” margins
-Correct citations
-Writing style, sentence structure, punctuation, spelling
My original PICO question was:
In pediatric patients, how effective is oral sucrose or “sweet-tasting solutions” towards providing procedural pain relief as compared to those who do not receive oral sucrose or “sweet-tasting solutions?”
-Now my instructor advised that I tailor down the question to a more specific popluation within that of pediatrics. So depending on the research that you find, you can go with either neonates or infants. Also, there needs to be at least 5 research articles used for this paper. She would like them to be most recent within the past 5 years, but will allow for some leeway if necessary (the paper just must reflect that more current research is needed upon the topic). Also, the research articles should be that of the highest level of evidence as possible. Meaning that of randomized clinical trials, etc.

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